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NPI Code Detail

MEDICARE: JENNY MERTY

MEDICARE:   JENNY  MERTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker127640NY

General Provider Information

NPI Number : 1194617688
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNY MERTY
Provider Business Mailing Address
First Line : 967 E 86TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-3805
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8601 ROOSEVELT AVE
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-7536
Country : US
Telephone Number : 347-241-1707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2025
Last Update Date : 09/12/2025

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Directions to “ JENNY MERTY ” Practice Location

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